Diabetic nightmare

Re: Diabetic nightmare

Busybee — Thu, 16 Aug 2012 21:59:14 GMT

[quote user="ilanit"]I am wondering what would be happening in those 2 hours between 7.2 and 25.1 mmol/l. Since it takes such a big leap. You expect glucose to go down after insulin, not up. I would be worried about overswing here.[/quote]7

Thirded. Try and get hold of some Caninsulin feedback forms. Have used these with an awkward diabetic dog I had which was doing similar things - you fill in the case details, attach glucose curves/bloods etc and fax to MSD. They then phone you (within hours in my case) to discuss and advise. I would also go back to 0.25IU/kg. Ps. might be worth a general blood profile to check for concurrent disease - mine had a thyroid carcinoma!

Re: Diabetic nightmare

plantagenet — Thu, 16 Aug 2012 16:38:56 GMT

Just pretend its just been diagnosed and start again - client ed. and all

Re: Diabetic nightmare

Kathryn Burton — Thu, 16 Aug 2012 16:27:39 GMT

Thanks, glad my suspicions may be right! We didn't find out until he went home that he had a lunchtime meal, as far as his records previously said he'd gone from QID back to BID and the owner didn't mention it in the morning (owner was not very forthcoming with this info as she feels 'guilty' for feeding him at lunchtime when told to feed BID...).

Re: Diabetic nightmare

HMC — Thu, 16 Aug 2012 16:21:48 GMT

[quote user="K Burton"] feeding then every 2 hours over day (not fed lunchtime meal)[/quote]

Why? Surely that's making interpretation difficult for yourself...

[quote user="K Burton"]started on caninsulin 0.5 IU/kg SID[/quote]

I'd be tempted to start back at the beginning but on 0.25iu BID (this is what I always use as a starting dose).

Re: Diabetic nightmare

HMC — Thu, 16 Aug 2012 16:15:54 GMT

Seconded.

Re: Diabetic nightmare

ilanit — Thu, 16 Aug 2012 13:28:56 GMT

I am wondering what would be happening in those 2 hours between 7.2 and 25.1 mmol/l. Since it takes such a big leap. You expect glucose to go down after insulin, not up. I would be worried about overswing here.

Re: Diabetic nightmare

Mark Hedberg — Thu, 16 Aug 2012 11:20:06 GMT

Injection technique springs to mind; sometimes if you're injecting in the same place you get scar tissue forming and the insulin gets 'stuck'. Dietary indiscretion might be another issue; is the food fed 'ad libitum' or measured correctly?